Bringing Economics and Quality Together: Imperatives for Nurse Executives. Part One: “Follow the Money”: original articleFostering the Coexistence of Caring Philosophy and Economics in Today's Health Care SystemCara, Chantal M. PhD, RN; Nyberg, Jan J. PhD, RN; Brousseau, Sylvain MScN, RNAuthor Information Faculty of Nursing Sciences, Université de Montréal (Dr Cara and Mr Brousseau) and Center for Interdisciplinary Research in Rehabilitation and Institut de readaptation Gingras-Lindsay de Montreal (Dr Cara), Montreal, Quebec, Canada; Dr Nyberg is a retired Vice-President/Director of Nursing at a 400-bed Hospital in Colorado and a professor, University of Colorado and Regis University, Colorado. Correspondence: Chantal M. Cara, PhD, RN, Faculty of Nursing Sciences, Université de Montréal, Montreal, Quebec, Canada ([email protected]). The authors thank Dr Dawn Freshwater and Dr Andre Duquette for their helpful reviews of this manuscript. Nursing Administration Quarterly: January/March 2011 - Volume 35 - Issue 1 - p 6-14 doi: 10.1097/NAQ.0b013e3182048c10 Buy Metrics Abstract For the past decade, several health care systems are undergoing continuous administrative restructuring, whose main objective is cost reduction. These changes often result in the patients' needs not being met because nurses are continuously affected by widespread budget cuts and staff downsizing. Have we reached a point, where we are setting aside our prime directive of patient well-being for the sake of finances? If so, are we at risk of forsaking our professional identity as nurses? The authors believe that caring management and economical constraints can coexist while promoting quality patient care. The purpose of this article is to show how nurse managers and administrators can facilitate caring practices while maintaining their financial responsibilities within the health care organization. This article suggests several strategies for assisting nurse managers in promoting caring in the health care environment. © 2011 Lippincott Williams & Wilkins, Inc.